Jacob D. Campbell D.O.
Pediatric Surgery Physician in Farmington, CT(View on Map)
Full Name
Jacob Dale Campbell D.O.
NPI Number
1811301377
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/12/2014
Specialties
(Taxonomies)Code
2086S0120X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Connecticut
License Number
75461
Contact
Information
Purpose
Mailing
Location
Address
UCONN SCHOOL OF MEDICINE DEPT OF SURGERY
UCONN SCHOOL OF MEDICINE DEPT OF SURGERY
City
Farmington
Farmington
State
CT
CT
Postal Code
06030-3955
06030-3955
Country
US
US
Telephone Number
(860) 679-2147
(860) 679-2147
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
jcampbell14573@direct.connecticutchildrens.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
282 Washington St Fl 1Hartford, CT061063322US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/27/2023